Case Review

Your Name

Pet’s Name

Email

Phone Number

How long has it been since your Pet's last exam at Woodlake Animal Hospital?

< 6 months 6 months - 1 year More than a year

Behavior History

Is your dog afraid of: (Check all that apply)

Fireworks Storms Sudden loud noises in general Other

Does your dog exhibit ABNORMAL levels of distress, excitement, etc. in response to any of the following? (Check all that apply)

Have you tried supplements, medications, or training techniques to address these problems in the past?

Yes No

Anything else to add?